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This is the sign-off test for ECG Nurses. You have 30 minutes to complete the test. PLEASE READ ALL THE QUESTIONS CAREFULLY. Good luck!
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1
Name
*
This field is required.
First Name
Last Name
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2
Please enter your banding
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3
What are the seven basic steps in ECG interpretation?
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Tick all that apply
P-waves
Checking labelling
P-wave axis
Q-waves
T-waves
Conduction
R-wave progression
Heart rate
Vertical axis
Rhythm
Horizontal axis
ST segment
PR depression
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4
Look at Trace 1: What ECG territory is this?
Tick only one
Anteroseptal
High lateral
Inferior
Lateral
RIght-sided
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5
Look at Trace 2: What ECG territory is this?
Tick only one
Anteroseptal
High lateral
Inferior
Lateral
RIght-sided
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6
Look at Trace 3: What ECG territory is this?
Tick only one
Anteroseptal
High lateral
Inferior
Lateral
RIght-sided
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7
Look at Trace 4: What ECG territory is this?
Tick only one
Anteroseptal
High lateral
Inferior
Lateral
RIght-sided
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8
What is the minimum labelling required on an ECG?
Tick only one
Name/DOB/MRN, date, time, symptoms
Name/DOB/NHS number, hospital, time, symptoms
Name/DOB/MRN, date, time, other observations
Name/DOB/MRN, date, symptoms
Name/DOB/MRN, drug allergies, time, symptoms
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9
How can heart rate be calculated from the ECG?
More than one option may apply
Number of QRS complexes along rhythm strip multiplied by 6
300 divided by number of large squares
Number of small squares between each complex multiplied by 60
Q-T interval divided by 25mm/s
Square root of R-R interval
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10
Look at Trace 5: What is the Heart Rate?
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11
Look at Trace 6: What is the Heart Rate?
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12
Look at Trace 7: What is the Heart Rate?
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13
Look at Trace 8: What is the Heart Rate?
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14
Look at Trace 9: Is this a regular rhythm?
Yes
No
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15
Look at Trace 10: Is this a regular rhythm?
Yes
No
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16
Look at Trace 11: What is this rhythm called?
Tick only one
Sinus rhythm
Wolff-Parkinson-White
2nd degree heart block
Atrial fibrillation
1st degree heart block
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17
Look at Trace 12: What is this rhythm called?
Tick only one
Sinus rhythm
Atrial fibrillation
Atrial flutter with variable block
Ventricular Tachycardia
Complete heart block
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18
Look at Trace 13: What is this rhythm called?
Tick only one
Torsades de Pointe
Accelerated idioventricular rhythm
Ventricular fibrillation
Atrial fibrillation
Ventricular tachycardia
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19
Look at Trace 14: What is this rhythm called?
Tick all that apply
Sinus rhythm
Asystole
2nd degree heart block Mobitz Type II
I don't know, but it's a severe bradycardia and therefore needs urgent attention
Complete heart block
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20
Look at Trace 15: What is this rhythm called?
Tick all that apply
Ventricular tachycardia
Ventricular fibrillation
I don't know, but it's a severe tachycardia and therefore needs urgent attention
Atrial fibrillation with aberrant conduction
1st degree heart block
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21
What is the normal width of the QRS complex?
Tick all that apply
2 to 3 small squares
0.12 to 0.20 seconds
0.08 to 0.12 seconds
3 to 5 small sqaures
1 to 2 small squares
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22
Name possible causes of a widened QRS complex
Tick all that apply
Bundle branch block
Hypothermia
Hyperkalaemia
Wolff-Parkinson White
SVT
Drug toxicity eg., tricyclic antidepressants
Junctional tachycardia
Atrial fibrillation
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23
Look at Trace 16: What is this?
Tick only one
Left bundle branch block
Right bundle branch block
Complete heart block
Junctional Rhythm
Inferior MI
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24
Trace 16: Is It Serious?
Yes
No
Might be
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25
Look at Trace 17: What is this?
Tick only one
Left bundle branch block
Right bundle branch block
Complete heart block
Junctional Rhythm
Inferior MI
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26
Trace 17: Is It Serious?
Yes
No
Might be
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27
Look at Trace 18: What is this?
Tick only one
Acute myocardial infarction
Normal
Right bundle branch block
Pericarditis
NSTEMI
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28
Look at Trace 19: What is this?
Tick all that apply
ST depression
Acute myocardial ischaemia
LMCA occlusion
Fast AF
Acute myocardial infarction
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29
Look at Trace 20: What is the abnormality?
Tick only one
None
T-wave inversion
Acute myocardial infarction
Wolff-Parkinson-White syndrome
Hyperkalaemia
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30
Look at Trace 21: What is the abnormality?
Tick only one
None
T-wave inversion
Acute myocardial infarction
Wolff-Parkinson-White syndrome
Hyperkalaemia
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31
Look at Trace 22: What is this suggestive of?
Tick all that apply
Hyperkalaemia
Acute myocardial infarction
Can be normal
Digoxin Toxicity
Fast atrial fibrillation
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